The eight procedures are:
1. Autograft for spine surgery (includes harvesting the graft); local (eg, ribs, spinous process or laminar fragments) obtained from the same incision (List separately in addition to code for primary procedure): 20936
2. Autograft for spine surgery only (includes harvesting the graft); morselized (through separate skin or fascial incision) (List separately in addition to code for primary procedure): 20937
3. Autograft for spine surgery only (includes harvesting the graft); structural biocortical or tricortical (through separate skin fascial incision): 20938
4. Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical C2, each additional interspace (List separately in addition to code for separate procedure): 22552
5. Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle screw fixation across one interspace, atlantoaxial transarticular screw fixation, sublaminar wiring at C1, facet screw fixation): 22840
6. Posterior non-segmental instrumentation (eg. Harrington rod technique, pedicle fixation across one interspace, atlantoaxial transarticular screw fixation, subliminar wiring at C1, facet screw fixation): 22842
7. Anterior instrumentation; two to three vertebral segments: 22845
8. Application of intervertebral biomechanical device(s) (eg, synthetic cage(s), methlmethacrylate) to vertebral defect or interspace (List separately in addition to code for primary procedure): 22851
CMS also noted it will continue to exclude total disc arthroplasty from the ASC-payable list because “the procedure would generally be expected to require at least an overnight stay.”
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